Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Facility		$137.93	$137.93	$137.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $139.31	Professional		$137.93	$137.93	$139.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.56 / $137.93 / $137.93	Professional		$125.56	$137.93	$137.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $193.10 / $220.69	Facility		$137.93	$193.10	$220.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $151.72 / $200.00	Professional		$137.93	$151.72	$200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.08 / $128.08 / $137.93	Facility		$128.08	$128.08	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.75 / $137.93 / $192.78	Professional		$135.75	$137.93	$192.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $128.08 / $166.50	Professional		$112.94	$128.08	$166.50
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $147.72	Professional		$137.93	$137.93	$147.72